| NPI | 1386802577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WY CSSP01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC356) |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2008-05-25 |